Doctor Name: | MS. SAMANTHA BECK |
NPI Number: | 1285985994 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 41YS00699400 |
Business Practice Address: | 220 Livingston St Suite 112 Northvale, NJ - 076471738 |
Business Phone Number: | 2016380502 |
Business Fax Number: | |
Mailing Address: | 409 Tenakill Dr, NORTHVALE |
State: | NJ |
Postal Code: | 076471212 |
Phone Number: | 2016380502 |
Fax Number: | |
NPI Enumeration Date: | 09/21/2012 |
NPI Last Update Date: | 09/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355A2700X |
License Number: | 41YS00699400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Audiology Assistant |
Taxonomy Definition: |